NPI | 1164010039 |
---|---|
Former Name | AMBER ISSAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 172A00000X Driver |
Enumeration Date | 2021-01-06 |
Last Update Date | 2021-04-15 |